COMMONWEALTH HEALTH CORPORATION INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMONWEALTH HEALTH CORPORATION INC (EIN 31-1118087)
- Tax period
- 2019-04-01 to 2020-03-31
- Filed
- 2021-02-12
- IRS object ID
- 202120439349302402
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-02-12T15:43:25-06:00 | ReturnTs |
| Tax Period End | 2020-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3102 WEST END AVENUE SUITE 1050 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 372031301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311118087 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMONWEALTH HEALTH CORPORATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JENNY GREENWELL | InCareOfNm |
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2707451500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 PARK STREET | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELE LAWLESS | PersonNm |
| Person Title | VP - CFO | PersonTitleTxt |
| Phone | 2707451500 | PhoneNum |
| Signature | 2021-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA FREEMAN | PreparerPersonNm |
| PTIN | P01261457 | PTIN |
| Phone | 6159883600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CONNIE D SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 PARK STREET | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $144,512,485 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://MEDCENTERHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | COMMONWEALTH HEALTH CORPORATION'S MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 4389 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $5,712,583 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,272,897 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $481,675 | PYContributionsGrantsAmt |
| CY Contributions Grants | $497,859 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $104,516,019 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $112,459,921 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,638,625 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,273,665 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,313,387 | PYOtherRevenueAmt |
| CY Other Revenue | $801,032 | CYOtherRevenueAmt |
| PY Total Revenue | $108,949,706 | PYTotalRevenueAmt |
| CY Total Revenue | $118,032,477 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $858,431 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $867,746 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,861,552 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,324,801 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,282,573 | PYOtherExpensesAmt |
| CY Other Expenses | $31,316,269 | CYOtherExpensesAmt |
| PY Total Expenses | $105,002,556 | PYTotalExpensesAmt |
| CY Total Expenses | $114,508,816 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,947,150 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,523,661 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $105,472,534 | TotalAssetsBOYAmt |
| Total Assets EOY | $118,129,695 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,044,212 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,889,774 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $72,428,322 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $79,239,921 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMONWEALTH HEALTH CORPORATION'S MISSION IS TO CARE FOR PEOPLE AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $57,177,695 | ExpenseAmt |
| Revenue | $57,109,640 | RevenueAmt |
| Desc | THE CORPORATION PROMOTES HEALTHCARE IN SOUTH CENTRAL KENTUCKY BY OWNING AND MANAGING PHYSICIAN PRACTICES AND IMMEDIATE CARE CLINICS. THE PHYSICIAN PRACTICES COVER A WIDE RANGE OF MEDICAL SPECIALTIES, INCLUDING ORTHOPAEDIC, VASCULAR, AND CARDIOTHORACIC SURGERY, OTORHIOLARYNGOLOGY (ENT), NEUROLOGY, HOSPITALISTS, OBSTETRICS, GYNECOLOGY, GENERAL SURGERY, NEUROSURGERY, BARIACTRIC SURGERY, HEMOTOLOGY & ONCOLOGY, INFECTION DISEASE, INTERNAL MEDICINE AND GENERAL MEDICINE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,434,909 | ExpenseAmt |
| Grant | $867,746 | GrantAmt |
| Revenue | $41,094,158 | RevenueAmt |
| Desc | CHC HAS BEEN DETERMINED TO BE A PUBLIC SUPPORTED ORGANIZATION DESCRIBED IN SECTION 509(A)(2) OF THE CODE AND A CHARITABLE ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXATION BY VIRTUE OF SECTIONS 501(A) AND 501(C)(3) OF THE CODE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,712,095 | ExpenseAmt |
| Revenue | $14,256,123 | RevenueAmt |
| Desc | THE CORPORATION PROMOTES HEALTHCARE IN SOUTH CENTRAL KENTUCKY BY OPERATING A COMPREHENSIVE REHABILITATION FACILITY WHICH OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN ADDITION, THE CORPORATION PROVIDES STAFFING FOR THERAPY SERVICES IN A RELATED HOME HEALTH AGENCY, TWO ACUTE CARE HOSPITALS, THREE CRITICAL ACCESS HOSPITALS, A LONG-TERM ACUTE CARE HOSPITAL, AND ONE NURSING CARE FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $88,324,699 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 242 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4389 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNY GREENWELL | PersonNm |
| Phone | 2707451500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 PARK STREET | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MRS CONNIE SMITH | |||||||||
| PRESIDENT - CEO | 40.0 | 12.0 | Yes (X) | Yes (X) | $1,154,742 | $0 | $18,916 | ||
| DR NARENDRA NATHOO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $924,554 | $0 | $38,627 | Yes (X) | |||
| DR NESSA TIMONEY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $814,974 | $0 | $36,215 | Yes (X) | |||
| DR WALLACE CARTER | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $773,799 | $0 | $30,639 | Yes (X) | |||
| DR PAUL M MOORE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $775,644 | $0 | $26,832 | Yes (X) | |||
| DR ONYEOZIRI NWANGUMA | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $747,642 | $0 | $37,284 | Yes (X) | |||
| MR RONALD G SOWELL | |||||||||
| EXECUTIVE VICE PRESIDENT - CFO | 40.0 | 10.0 | Yes (X) | $601,744 | $0 | $11,621 | |||
| MS BARBARA JEAN CHERR | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.0 | 10.0 | Yes (X) | $590,400 | $0 | $12,765 | |||
| MR WADE STONE | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.0 | 10.0 | Yes (X) | $475,944 | $0 | $27,286 | |||
| DR HUGH SIMS | |||||||||
| DIRECTOR / PHYSICIAN | 40.0 | 0.0 | Yes (X) | $371,468 | $0 | $36,986 | |||
| DR JILL PAYNE | |||||||||
| EXECUTIVE VICE PRESIDENT - CNO | 40.0 | 10.0 | Yes (X) | $293,674 | $0 | $24,442 | |||
| MR ERIC HAGAN | |||||||||
| FORMER EXECUTIVE VP | 0.0 | 40.0 | $0 | $275,416 | $23,319 | Yes (X) | |||
| MR JOE NATCHER | |||||||||
| CHAIRMAN | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MRS CATHY BISHOP | |||||||||
| VICE CHAIR | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR ELI JACKSON | |||||||||
| SECRETARY | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MRS BEVERLY BOREN | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JUDGE MICHAEL BUCHANON | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JUDGE WILLIAM FUQUA | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MR DOUG GORMAN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MR TOMMY HOLDERFIELD | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| MR TOMMY LOVING | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| MR BRAD ODIL | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| DR JACKIE POPE-TARREN | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| DR KAL SAHETYA | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MR TONY WITTY | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,524,585 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $275,416 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $324,932 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 226 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KENTUCKY MEDICAL SERVICES | |||||
| PO BOX 587 | LEXINGTON | KY | 405860587 | PHYSICIAN SERVICES | $3,887,421 |
| HOY P HODGES | |||||
| PO BOX 1865 | BOWLING GREEN | KY | 42102 | ATTORNEY SERVICES | $1,316,558 |
| BOTTOM LINE SYSTEMS INC | |||||
| 541 BUTTERMILK PIKE SUITE 401 | CRESCENT SPRINGS | KY | 41017 | PROFESSIONAL FEES | $844,754 |
| ERX LLC | |||||
| 9724 KINGSTON PIKE SUITE 1300 | KNOXVILLE | TN | 37922 | ER PHYSICIAN SERVICE | $629,478 |
| TOTAL ANESTHESIA SOLUTIONS | |||||
| PO BOX 36 | LISBON | MD | 21765 | BILLING SERVICES | $558,061 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $497,859 | RelatedOrganizationsAmt |
| Total Contributions | $497,859 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PHYSICIAN SERVICES | 621110 | $57,109,640 | $57,109,640 | |
| REHABILITATIVE SERVICES | 624310 | $14,256,123 | $14,256,123 | |
| ADMINISTRATIVE PROGRAMS | 561000 | $41,094,158 | $35,381,575 | $5,712,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $112,459,921 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,376,864 | TotalRevenueColumnAmt |
| Exclusion | $3,376,864 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $291,205 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $126,131 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $165,074 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,074 | TotalRevenueColumnAmt |
| Exclusion | $165,074 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,250,678 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,353,877 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $896,801 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $896,801 | TotalRevenueColumnAmt |
| Exclusion | $896,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONTRACT LABOR | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $635,958 | TotalRevenueColumnAmt |
| Exclusion | $635,958 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $635,958 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,032,477 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $106,747,338 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,712,583 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,074,697 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,544 | TotalAmt |
| Program Services | $856,544 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,202 | TotalAmt |
| Program Services | $11,202 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,619,898 | TotalAmt |
| Program Services | $2,604,260 | ProgramServicesAmt |
| Management And General | $1,015,638 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,273,775 | TotalAmt |
| Program Services | $48,024,379 | ProgramServicesAmt |
| Management And General | $14,249,396 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,018,724 | TotalAmt |
| Program Services | $2,332,193 | ProgramServicesAmt |
| Management And General | $1,686,531 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,525,209 | TotalAmt |
| Program Services | $5,990,821 | ProgramServicesAmt |
| Management And General | $2,534,388 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,887,195 | TotalAmt |
| Program Services | $2,925,965 | ProgramServicesAmt |
| Management And General | $961,230 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,059 | TotalAmt |
| Program Services | $415,143 | ProgramServicesAmt |
| Management And General | $118,916 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,392 | TotalAmt |
| Program Services | $13,100 | ProgramServicesAmt |
| Management And General | $312,292 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,860,566 | TotalAmt |
| Program Services | $15,471,706 | ProgramServicesAmt |
| Management And General | $3,388,860 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $971,775 | TotalAmt |
| Program Services | $371,615 | ProgramServicesAmt |
| Management And General | $600,160 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,639,512 | TotalAmt |
| Program Services | $2,152,583 | ProgramServicesAmt |
| Management And General | $486,929 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,560 | TotalAmt |
| Program Services | $391,504 | ProgramServicesAmt |
| Management And General | $74,056 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,385,041 | TotalAmt |
| Program Services | $2,290,096 | ProgramServicesAmt |
| Management And General | $94,945 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,781 | TotalAmt |
| Program Services | $385,139 | ProgramServicesAmt |
| Management And General | $263,642 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,381 | TotalAmt |
| Program Services | $673,450 | ProgramServicesAmt |
| Management And General | $57,931 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,594,832 | TotalAmt |
| Program Services | $1,315,006 | ProgramServicesAmt |
| Management And General | $279,826 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,837,068 | $1,837,068 | |
| TAXES AND LICENSES | $19,556 | $19,556 | |
| DUES | $53,951 | $26,941 | $27,010 |
| EMPLOYEE RECRUITING | $246,314 | $214,989 | $31,325 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,481 | TotalAmt |
| Program Services | $1,439 | ProgramServicesAmt |
| Management And General | $1,042 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,508,816 | TotalAmt |
| Program Services | $88,324,699 | ProgramServicesAmt |
| Management And General | $26,184,117 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,962,339 | BOYAmt |
| EOY | $11,916,090 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,082,744 | BOYAmt |
| EOY | $64,707,879 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $887,668 | BOYAmt |
| EOY | $1,279,670 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,161,214 | BOYAmt |
| EOY | $6,729,207 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,890,603 | BOYAmt |
| EOY | $11,169,895 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,559 | BOYAmt |
| EOY | $16,264 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $735,351 | BOYAmt |
| EOY | $2,237,103 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,946,647 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,811,156 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,270,737 | BOYAmt |
| EOY | $10,135,491 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,084,271 | BOYAmt |
| EOY | $7,561,048 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,048 | BOYAmt |
| EOY | $2,377,048 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,472,534 | BOYAmt |
| EOY | $118,129,695 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,479,805 | BOYAmt |
| EOY | $26,185,930 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,564,407 | BOYAmt |
| EOY | $12,703,844 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,044,212 | BOYAmt |
| EOY | $38,889,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,428,322 | BOYAmt |
| EOY | $79,239,921 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,428,322 | BOYAmt |
| EOY | $79,239,921 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,472,534 | BOYAmt |
| EOY | $118,129,695 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,523,661 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,231,828 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,519,766 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $502,537 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $489,894 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $490,159 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,675 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $497,859 | CurrentTaxYearAmt |
| Total | $2,462,124 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,842,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,809,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $85,682,673 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,569,907 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,747,338 | CurrentTaxYearAmt |
| Total | $428,652,464 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,345,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,299,549 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,172,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,051,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,245,197 | CurrentTaxYearAmt |
| Total | $431,114,588 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $431,114,588 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,485,933 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,721,794 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,006,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,540,304 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,668,069 | CurrentTaxYearAmt |
| Total | $11,422,387 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,789,183 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,293,650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,100,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,133,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,005,588 | CurrentTaxYearAmt |
| Total | $6,322,480 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,275,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,015,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,106,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,674,295 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,673,657 | CurrentTaxYearAmt |
| Total | $17,744,867 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,321,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,133,008 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $635,958 | CurrentTaxYearAmt |
| Total | $7,090,630 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,620,544 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,314,993 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $94,600,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $103,858,885 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $112,554,812 | CurrentTaxYearAmt |
| Total | $455,950,085 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94553 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94385 | PublicSupportPY509Pct |
| Investment Income CY | 0.03892 | InvestmentIncomeCYPct |
| Investment Income PY | 0.04023 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,231,717 | OtherCostOrOtherBasisAmt |
| Book Value | $2,231,717 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,183,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,393,020 | DepreciationAmt |
| Book Value | $5,790,208 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,239,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,308,664 | DepreciationAmt |
| Book Value | $1,931,188 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $291,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,472 | DepreciationAmt |
| Book Value | $182,378 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,135,491 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp | |
| Total Book Value Securities | $0 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLE TO AFFILIATES | $2,655,447 |
| LONG-TERM PL/GL LIABILITY | $9,807,714 |
| LONG-TERM LEASE LIABILITY | $240,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,703,844 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $115,926,780 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,231,828 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$2,231,828 | RevenueNotReportedAmt |
| Revenue Subtotal | $118,158,608 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$126,131 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$126,131 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $118,032,477 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $114,634,947 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $126,131 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $126,131 | ExpensesNotReportedAmt |
| Expenses Subtotal | $114,508,816 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $114,508,816 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | INCOME TAXES ----------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 4B: | OTHER AMOUNTS INCLUDED ON FORM 990, PART VIII BUT NOT LINE 1 ------------------- RENTAL EXPENSE SHOWN NET OF REVENUE PER TAX RETURN ($126,131) |
| PART XII, LINE 2D: | OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT FORM 990 PART IX ------------------- RENTAL EXPENSE SHOWN NET OF REVENUE PER TAX RETURN $ 126,131 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMONWEALTH HEALTH FREE CLINIC | |||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 611292739 | 501(C)(3) | $499,992 | GENERAL SUPPORT |
| COMMONWEALTH HEALTH FOUNDATION | |||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 611362000 | 501(C)(3) | $355,752 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| HERBERT A OLDHAM SCHOLARSHIP | 1 | $5,601 |
| FLOYD ELLIS SCHOLARSHIP | 1 | $5,601 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | GRANTS PAID ----------------------------- COMMONWEALTH HEALTH CORPORATION, INC. (CHC) IS FREQUENTLY ASKED TO CONTRIBUTE TO A VARIETY OF ORGANIZATIONS AND FUNDRAISING PROJECTS. CHC WAS ESTABLISHED TO SUPPORT THE HEALTHCARE MISSIONS OF THE BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION AND OTHER NON-PROFIT AFFILIATES OF CHC. IT IS CHC'S GOAL TO BE A SUPPORTIVE CITIZEN AND, WHEN PRACTICAL AND POSSIBLE, TO MAKE REASONABLE CONTRIBUTIONS WHICH ARE BENEFICIAL TO THE COMMUNITY AND PARALLEL TO OUR EXEMPT PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR HUGH SIMS | ||||||||||||||
| DIRECTOR / PHYSICIAN | $367,735 | $0 | $0 | $0 | $3,733 | $0 | $8,400 | $0 | $28,586 | $0 | $408,454 | $0 | $0 | $0 |
| MRS CONNIE SMITH | ||||||||||||||
| PRESIDENT - CEO | $847,714 | $0 | $0 | $0 | $307,028 | $0 | $0 | $0 | $18,916 | $0 | $1,173,658 | $0 | $0 | $0 |
| MR RONALD G SOWELL | ||||||||||||||
| EXECUTIVE VICE PRESIDENT - CFO | $481,477 | $0 | $0 | $0 | $120,267 | $0 | $0 | $0 | $11,621 | $0 | $613,365 | $0 | $0 | $0 |
| MS BARBARA JEAN CHERRY | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $480,831 | $0 | $0 | $0 | $109,569 | $0 | $0 | $0 | $12,765 | $0 | $603,165 | $0 | $0 | $0 |
| DR JILL PAYNE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT - CNO | $287,013 | $0 | $0 | $0 | $6,661 | $0 | $4,364 | $0 | $20,078 | $0 | $318,116 | $0 | $0 | $0 |
| MR WADE STONE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $361,301 | $0 | $0 | $0 | $114,643 | $0 | $0 | $0 | $27,286 | $0 | $503,230 | $0 | $0 | $0 |
| DR NARENDRA NATHOO | ||||||||||||||
| PHYSICIAN | $922,140 | $0 | $0 | $0 | $2,414 | $0 | $8,400 | $0 | $30,227 | $0 | $963,181 | $0 | $0 | $0 |
| DR PAUL M MOORE | ||||||||||||||
| PHYSICIAN | $771,911 | $0 | $0 | $0 | $3,733 | $0 | $0 | $0 | $26,832 | $0 | $802,476 | $0 | $0 | $0 |
| DR WALLACE CARTER | ||||||||||||||
| PHYSICIAN | $768,547 | $0 | $0 | $0 | $5,252 | $0 | $0 | $0 | $30,639 | $0 | $804,438 | $0 | $0 | $0 |
| DR ONYEOZIRI NWANGUMA | ||||||||||||||
| PHYSICIAN | $743,909 | $0 | $0 | $0 | $3,733 | $0 | $8,400 | $0 | $28,884 | $0 | $784,926 | $0 | $0 | $0 |
| DR NESSA TIMONEY | ||||||||||||||
| PHYSICIAN | $813,484 | $0 | $0 | $0 | $1,490 | $0 | $8,400 | $0 | $27,815 | $0 | $851,189 | $0 | $0 | $0 |
| MR ERIC HAGAN | ||||||||||||||
| FORMER EXECUTIVE VP | $0 | $266,232 | $0 | $0 | $0 | $9,184 | $0 | $0 | $0 | $23,319 | $0 | $298,735 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B: | FormAndLineReferenceDesc |
| Explanation | ------------------------------- CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE CURRENT YEAR INCREASE IN THE ACCRUED BENEFIT, AS ACTUARIALLY DETERMINED, IS REPORTED AS COMPENSATION. THE FOLLOWING ARE THE INDIVIDUALS PARTICIPATING IN THE PLAN AND THE CURRENT YEAR INCREASES REPORTED AS COMPENSATION: CONNIE SMITH $291,429 RONALD SOWELL $109,255 JEAN CHERRY $ 98,542 WADE STONE $111,894 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| EMILY HOLDERFIELD | |||
| SEE PART V | $52,094 | COMPENSATION | false |
| THOMAS LOVING II | |||
| SEE PART V | $22,164 | COMPENSATION | false |
| STACEY SIMS | |||
| SEE PART V | $34,827 | COMPENSATION | false |
| NELSON STONE | |||
| SEE PART V | $10,551 | COMPENSATION | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV: | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: --------------------------------------------------- (A) NAME OF PERSON: EMILY HOLDERFIELD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMILY IS THE WIFE OF BOARD MEMBER TOMMY HOLDERFIELD. (D) DESCRIPTION OF TRANSACTION: TOMMY HOLDERFIELD SERVES AS A BOARD MEMBER OF COMMONWEALTH HEALTH CORPORATION (CHC). MR. HOLDERFIELD'S WIFE, EMILY HOLDERFIELD, IS EMPLOYED BY CHC. (A) NAME OF PERSON: THOMAS LOVING II (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THOMAS IS THE SON OF BOARD MEMBER TOMMY LOVING. (D) DESCRIPTION OF TRANSACTION: TOMMY LOVING SERVES AS A BOARD MEMBER OF COMMONWEALTH HEALTH CORPORATION (CHC). MR. LOVING'S SON, THOMAS LOVING II, IS EMPLOYED BY CHC. (A) NAME OF PERSON: STACEY SIMS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: STACEY IS THE WIFE OF EMPLOYEE/BOARD MEMBER DR. HUGH SIMS. (D) DESCRIPTION OF TRANSACTION: DR. HUGH SIMS SERVES AS AN EMPLOYEE/BOARD MEMBER OF COMMONWEALTH HEALTH CORPORATION (CHC). DR. SIMS'S WIFE, STACEY SIMS, IS EMPLOYED BY CHC. (A) NAME OF PERSON: NELSON STONE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: NELSON IS THE SON OF EXECUTIVE VICE PRESIDENT WADE STONE. (D) DESCRIPTION OF TRANSACTION: WADE STONE SERVES AS AN EXECUTIVE VICE PRESIDENT OF COMMONWEALTH HEALTH CORPORATION (CHC). MR. STONE'S SON, NELSON STONE, IS EMPLOYED BY CHC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE ACCOMPLISHMENTS -------------------------------- CHC IS A HOLDING COMPANY FOR A TOTAL OF TWELVE NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS (COLLECTIVELY, THE "AFFILIATES") ENGAGED IN VARIOUS ASPECTS OF THE HEALTHCARE INDUSTRY. CHC HAS ESTABLISHED VARIOUS DIVISIONS FOR ITS OPERATIONS, INCLUDING (1) BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ("THE MEDICAL CENTER"), (2) COMMONWEALTH HEALTH FREE CLINIC, INC., (3) THE MEDICAL CENTER AT FRANKLIN, INC., (4) THE MEDICAL CENTER AT CLINTON COUNTY, INC., (5) COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC. AND (6) VARIOUS NONPROFIT AND FOR-PROFIT CORPORATIONS AND PARTNERSHIPS. CHC OWNS AND OPERATES SEVERAL PHYSICIAN PRACTICES EMPLOYING GENERAL PRACTITIONERS, A BARIATRIC SURGEON, CARDIAC SURGEONS, VASCULAR SURGEONS, NEUROSURGEONS, OBSTETRIC/GYNECOLOGISTS, ONCOLOGISTS, RADIATION ONCOLOGIST, GENERAL SURGEON, PLASTIC AND RECONSTRUCTIVE SURGEON, INTERNAL MEDICINE PHYSICIANS, NEUROLOGIST, HOSPITALISTS, INFECTIOUS DISEASE AND TRAVEL MEDICINE PHYSICIANS, OPHTHALMOLOGISTS AND OPTOMETRISTS, UROLOGISTS, OTOLARYNGOLOGISTS, ORTHOPAEDISTS AND PSYCHIATRISTS. CHC HAS ACQUIRED THE PHYSICIAN PRACTICES IN ORDER TO ATTRACT AND RETAIN HIGHLY SKILLED PHYSICIANS IN SPECIALTIES THAT SUPPORT THE MISSION OF CHC AND ITS AFFILIATES. IN ADDITION, CHC OPERATES AND PROVIDES VARIOUS CORPORATE SUPPORT SERVICES INCLUDING PATIENT BILLING, COLLECTIONS, ACCOUNTING, MATERIALS MANAGEMENT, ENGINEERING, SECURITY, HUMAN RESOURCES, INFORMATION SYSTEMS, AND ADMINISTRATIVE SUPPORT. SINCE 1990, CHC'S WHOLLY-OWNED CENTER CARE HEALTH BENEFITS PROGRAM ("CENTER CARE"), A PREFERRED PROVIDER ORGANIZATION (PPO), HAS ASSISTED EMPLOYERS AND PAYORS IN MANAGING THE RISING COST OF THEIR HEALTHCARE. THE PPO OFFERS EMPLOYER GROUPS AND PAYORS IN THIS REGION AND ACROSS KENTUCKY A COMPREHENSIVE NETWORK OF PHYSICIANS AND FACILITIES WITH GREATER COST SAVINGS POTENTIAL THAN OTHER NATIONAL ORGANIZATIONS. TODAY, CENTER CARE SERVES AS THE LOCAL, REGIONAL, OR STATEWIDE NETWORK SOLUTION FOR VARIOUS MANAGED CARE ORGANIZATIONS FOR THEIR COMMERCIAL, MEDICARE, AND/OR MEDICAID MEMBERSHIP. SINCE 2008, CHC HAS BEEN THE SOLE OWNER OF BLUEGRASS OUTPATIENT CENTER OF BOWLING GREEN, LLC ("BLUEGRASS"). BLUEGRASS PROVIDES COMPREHENSIVE OUTPATIENT REHABILITATION THERAPY SERVICES. BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION: THE BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION IS A NON-STOCK, NONPROFIT KENTUCKY CORPORATION THAT OPERATES A HOSPITAL FACILITY IN BOWLING GREEN, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER"THE MEDICAL CENTER AT BOWLING GREENSINCE OCTOBER 1996, A HOSPITAL AND NURSING HOME FACILITY IN SCOTTSVILLE, KENTUCKY, UNDER THE NAME "THE MEDICAL CENTER AT SCOTTSVILLE." THE MEDICAL CENTER ALSO BEGAN OPERATING A HOSPITAL IN HORSE CAVE, KENTUCKY ON JANUARY 1, 2016 UNDER THE NAME "THE MEDICAL CENTER AT CAVERNA." THE MEDICAL CENTER AT BOWLING GREEN: BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL'S BOWLING GREEN FACILITY IS A GENERAL ACUTE CARE HOSPITAL LICENSED FOR 337 BEDS, WITH 333 BEDS IN USE. IN 1980, THE BOWLING GREEN FACILITY MOVED INTO A NEW, SIX-STORY, STATE-OF-THE-ART FACILITY, OCCUPYING 298,000 SQUARE FEET ON A 17-ACRE CAMPUS. SINCE 1980, BECAUSE OF AN EXPANDING DEMAND FOR OUTPATIENT SERVICES, SEVERAL ADDITIONS TO THE BOWLING GREEN FACILITY HAVE BEEN MADE AND BOTH CLINICAL AND PATIENT AREAS HAVE BEEN RENOVATED AND MODERNIZED. TODAY, THE CAMPUS INCLUDES 56 ACRES AND THE BUILDINGS ON THE CAMPUS CONTAIN A TOTAL OF APPROXIMATELY 462,000 SQUARE FEET OF SPACE. IN ADDITION, THE HOSPITAL OPERATES THE WHOLLY-OWNED MEDICAL CENTER PHARMACY OF BOWLING GREEN, LLC AND THE MEDICAL CENTER EMS, LLC WHICH PROVIDES THE ONLY EMERGENCY MEDICAL SERVICE IN WARREN COUNTY. THE HOSPITAL IS ALSO A 50% PARTNER WITH ANOTHER NON-PROFIT IN OPERATING THE NON-PROFIT BARREN RIVER REGIONAL CANCER CENTER, INC., AN OUTPATIENT ONCOLOGY CENTER LOCATED IN GLASGOW, KENTUCKY. THE MEDICAL CENTER AT SCOTTSVILLE: TO MORE FULLY SERVE THE HEALTH NEEDS OF SOUTH CENTRAL KENTUCKY, THE MEDICAL CENTER MERGED IN OCTOBER 1996 WITH AN AFFILIATED ENTITY, HEALTH ENDOWMENT PROPERTIES A-C, INC., A KENTUCKY NON-STOCK, NONPROFIT CORPORATION, WHICH OWNED AND OPERATED THE MEDICAL CENTER AT SCOTTSVILLE. THE SCOTTSVILLE FACILITY IS COMPRISED OF A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND 110 NURSING CARE BEDS. THESE BEDS ARE LOCATED IN AN APPROXIMATELY 85,000 SQUARE FOOT BUILDING ON APPROXIMATELY 13 ACRES OF LAND IN ALLEN COUNTY, NEAR SCOTTSVILLE, KENTUCKY. THE HOSPITAL ALSO OPERATES TWO RURAL HEALTH CLINICS, ONE IN SCOTTSVILLE, KY AND ONE IN FOUNTAIN RUN, KY. THE MEDICAL CENTER AT CAVERNA: ON JANUARY 1, 2016, THE BOWLING GREEN - WARREN COUNTY COMMUNITY HOSPITAL CORPORATION (THE MEDICAL CENTER) ACQUIRED ALL THE ASSETS OF CAVERNA MEMORIAL HOSPITAL, INC. (CAVERNA) IN EXCHANGE FOR ASSUMPTION OF ALL THE LIABILITIES OF CAVERNA, AND PAYOFF OF THE LONG-TERM DEBT OF CAVERNA IN THE AMOUNT OF $4,786,512. THIS FACILITY OPERATES AS A 25-BED MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL AND IS LOCATED IN HORSE CAVE, KENTUCKY. COMMONWEALTH HEALTH FREE CLINIC, INC.: COMMONWEALTH HEALTH FREE CLINIC, INC. ("FREE CLINIC") IS A SECTION 501(C)(3) ORGANIZATION THAT PROVIDES BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR CHARITABLE PURPOSES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY AND ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTHCARE ISSUES. THE CLINIC OFFERS SERVICES INCLUDING NON-EMERGENCY CLINICAL SERVICES, DENISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASED/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.: COMMONWEALTH REGIONAL SPECIALTY HOSPTIAL IS A LONG-TERM ACUTE CARE HOSPITAL THAT OPERATES AS A HOSPITAL WITHIN A HOSPITAL BY LEASING 22 BEDS FROM THE MEDICAL CENTER ON THE MEDICAL CENTER'S BOWLING GREEN CAMPUS. IT IS AN ACUTE CARE HOSPITAL FOR THOSE PATIENTS REQUIRING AN EXTENDED HOSPITAL STAY (ANTICIPATED LENGTH OF STAY BETWEEN 18-35 DAYS) AND GENERALLY HAVING COMPLEX OR CHRONIC MEDICAL CONDITIONS. THE MEDICAL CENTER AT FRANKLIN, INC.: ("MCF") OPERATES A HOSPITAL IN THE COMMUNITY OF FRANKLIN, SIMPSON COUNTY, KENTUCKY. THIS LOCATION IS JUST 27 MILES FROM THE MEDICAL CENTER'S BOWLING GREEN CAMPUS. MCF IS A MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL OFFERING ACUTE CARE INPATIENT AND OUTPATIENT PROGRAMS IN ITS 25 BED ACUTE CARE FACILITY. THE MEDICAL CENTER AT ALBANY: ON APRIL 1, 2016, THE MEDICAL CENTER ACQUIRED THE ASSETS OF CLINTON COUNTY HOSPITAL, INC., AND ACUTE-CARE FACILITY, IN ORDER TO MAINTAIN THE FACILITY AS AN ACUTE-CARE HOSPITAL. THE MEDICAL CENTER AT ALBANY IS A 42-BED ACUTE CARE HOSPITAL THAT EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN CLINTON COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. COMMONWEALTH HEALTH FOUNDATION: IN ADDITION, CHC ENDORSED THE ESTABLISHMENT OF COMMONWEALTH HEALTH FOUNDATION ("THE FOUNDATION") FOR THE PURPOSE OF FOSTERING, SUPPORTING AND INITIATING ACTIVITIES FOR THE ADVANCEMENT OF THE HEALTH CARE OBJECTIVES OF CHC AND THE MEDICAL CENTER AND/OR AFFILIATED NON-PROFIT 501(C)(3) ORGANIZATIONS. THE CHAIRMAN OF CHC'S BOARD OF DIRECTORS OR HIS/HER DESIGNEE, CHC'S PRESIDENT AND CEO, AND THE CFO OF THE MEDICAL CENTER SERVE AS EX OFFICO DIRECTORS OF THE FOUNDATION. ALL THREE ARE COUNTED FOR QUORUM PURPOSES AND HAVE THE RIGHTS AND PRIVILEGES OF OTHER DIRECTORS, INCLUDING THE RIGHT TO VOTE ON ALL MATTERS PROPERLY BEFORE THE BOARD. FULFILLING THE MISSION: COMMONWEALTH HEALTH CORPORATION ("CHC") WORKS TO FULFILL ITS MISSION OF CARING FOR PEOPLE AND IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES. IN FULFILLING THE MISSION, CHC DIRECTLY OR INDIRECTLY SPONSORS OR PARTICIPATES IN THE FOLLOWING ACTIVITIES: |
| FORM 990, PART III, LINE 4B (CONT): | OVERVIEW OF SPECIFIC COMMUNITY BENEFIT ACTIVITIES: THE COMMONWEALTH HEALTH FREE CLINIC, INC. ("FREE CLINIC") IS A SECTION 501(C)(3) ORGANIZATION THAT PROVIDES BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR CHARITABLE PURPOSES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY AND ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTHCARE ISSUES. THE CLINIC OFFERS SERVICES INCLUDING NON-EMERGENCY CLINICAL SERVICES, DENISTRY, COMMUNITY HEALTH EDUCATION AND COUNSELING, DISEASE/CONDITION SPECIFIC EDUCATION AND COUNSELING, AND ACCESS TO PHARMACEUTICALS. IN ADDITION TO THE FREE CLINIC'S SERVICES, FROM THE BEGINNING, CHC AND THE MEDICAL CENTER MADE A COMMITMENT TO BE NOT ONLY AN EXCELLENT MEDICAL FACILITY BUT ALSO THE PREEMINENT RESOURCE FOR HEALTH CARE INFORMATION IN WESTERN AND SOUTH CENTRAL KENTUCKY. THIS PHILOSOPHY GAVE BIRTH TO THE MEDICAL CENTER'S COMMUNITY WELLNESS PROGRAM. THIS PROGRAM PROVIDES FREE EDUCATIONAL PROGRAMS TO THE COMMUNITY AND WORK SITES ON PREVENTION, WELLNESS, HEALTH, LIFESTYLE, AND DISEASE MANAGEMENT. CHC AND THE MEDICAL CENTER SPONSOR THE HEALTH AND WELLNESS CENTER("CENTER"). THE CENTER PROVIDES FREE HEALTH EDUCATION SERVICES TO THE COMMUNITY AND IS STAFFED BY REGISTERED NURSES WHO ANSWER QUESTIONS, ASSIST WITH FREE HEALTH SCREENINGS AND COORDINATE OTHER ACTIVITIES. EACH MONTH THE CENTER FEATURES A DIFFERENT FREE SCREENING SUCH AS CHOLESTEROL, GLUCOSE, DEPRESSION, HEARING, OR PULMONARY FUNCTION. PRESENTATIONS AND PROGRAMS ARE PROVIDED DURING THE WEEK BY A VARIETY OF HEALTHCARE PROVIDERS. SUPPORT GROUPS ALSO MEET AT THE CENTER. ANNUALLY, CHC AND ITS CORPORATE AFFILIATES PROMOTE PARTICIPATION IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE PROGRAM AND THE AMERICAN HEATH ASSOICATION'S HEART WALK. IN ADDITION, CHC AND THE MEDICAL CENTER ENCOURAGES PHYSICAL ACTIVITY BY SPONSORING THE MEDICAL CENTER 10K CLASSIC AND CHILDREN'S CLASSIC, EVENTS WHICH COMBINE SEPARATE ACTIVITIES FOR THOSE WHO WANT TO WALK OR RUN COMPETITIVELY. ANNUALLY OVER 2,000 INDIVIDUALS PARTICIPATE IN THE 10K AND THE CHILDREN'S CLASSIC EVENTS. ANNUALLY, CHC AND THE MEDICAL CENTER SPONSOR A COMMUNITY-WIDE HEALTH AND WELLNESS EXPO AT A LOCAL CONVENTION CENTER. THIS EVENT PROVIDES VARIOUS HEALTH SCREENINGS AND OFFERS CITIZENS CONCENTRATED ACCESS TO BOTH INFORMATION REGARDING MANY COMMUNITY HEALTHCARE RESOURCES AND TO THE STAFF WHO WORK WITH THESE COMMUNITY HEALTHCARE AGENCIES. CHC AND THE MEDICAL CENTER'S SENIOR HEALTH CARE NETWORK PROVIDE WEEKLY EXERCISE PROGRAMS TO MEET THE SPECIFIC NEEDS OF PEOPLE OVER 55. AS A COMPLEMENT TO MEMBERS REGULAR VISITS TO THEIR PERSONAL PHYSICIAN, ANNUALLY MEMBERS CAN RECEIVE FREE HEALTH SCREENINGS OF BLOOD PRESSURE, BLOOD SUGAR LEVELS, LIPID PROFILE AND MORE. IN ADDITION, MEMBERS RECEIVE A QUARTERLY NEWSLETTER TO HELP STAY ABREAST OF HEALTHCARE ISSUES AND INFORMED OF UPCOMING SPECIAL EVENTS. CHC AND THE MEDICAL CENTER SPONSOR THE WOMEN'S CENTER WHICH PROVIDES FOR THE SPECIAL NEEDS OF WOMEN INCLUDING HEALTHCARE SERVICES, PERSONAL EDUCATION ON SELF-EXAMINATIONS, EXERCISE AND NUTRITION, A LUNCHEON SERVICE ON WOMEN'S HEALTH AND PROFESSIONAL CONCERNS, AND A NEWSLETTER. IN ADDITION, CHC AND THE MEDICAL CENTER SPONSOR THE MEN'S HEALTH ALLIANCE WHICH OFFERS MEMBERS A VARIETY OF HEALTH-RELATED BENEFITS INCLUDING ANNUAL HEALTH SCREENINGS. WITH THE SUPPORT OF CHC, THE MEDICAL CENTER IS WELL EQUIPPED FOR ORTHOPAEDIC SURGERY, NEUROSURGERY AND THE MOST COMMON CARDIAC PROBLEMS INCLUDING THE ABILITY TO PERFORM CARDIAC CATHETERIZATIONS, OPEN HEART SURGERY AND TO PROVIDE CARDIAC REHABILITATION. THE MEDICAL CENTER ALSO OFFERS CHEMOTHERAPY AND DIAGNOSTIC RADIOGRAPHY FOR CANCER SCREENING AND TREATMENT. OTHER SERVICES THAT CAN BE PROVIDED ON AN OUTPATIENT BASIS INCLUDE: EEG/EMG, EKG, ENDOSCOPY, IV THERAPY, DIGITAL MAMMOGRAPHY, NUCLEAR MEDICINE, PHYSICAL THERAPY, RADIOLOGY (CT. ULTRASOUND), RESPIRATORY THERAPY, AND VASCULAR STUDIES. CHC'S CONTRIBUTION TO OUR COMMUNITIES DISPLAYED BELOW IS A DETAILED LIST OF HOW OVER $116 MILLION IN BENEFITS WERE PROVIDED DIRECTLY TO THE COMMUNITY BY COMMONWEALTH HEALTH CORPORATIONS AND ITS AFFILIATES INCLUDING: THE MEDICAL CENTER (BOWLING GREEN, CAVERNA, AND SCOTTSVILLE CAMPUSES), THE MEDICAL CENTER AT FRANKLIN, THE MEDICAL CENTER AT ALBANY, COMMONWEALTH HEALTH FREE CLINIC, AND COMMONWEALTH REGIONAL SPECIALTY HOSPITAL: FINANCIAL ASSISTANCE (FREE OR DISCOUNTED CARE FOR UNINSURED PEOPLE WHOSE INCOMES MET CERTAIN POVERTY GUIDELINES): $ 8,607,271 UNPAID COST OF MEDICAID/MEDICARE: $ 67,332,369 COMMUNITY HEALTH SERVICES (INCLUDING FREE COMMUNITY HEALTH FAIRS, SCREENINGS, COMMUNITY HEALTH EDUCATION CLASSES, AND HEALTH AND WELLNESS PROJECTS): $ 5,133,315 HEALTH PROFESSIONAL EDUCATION: $ 8,687,911 SUBSIDIZED HEALTH SERVICES (INCLUDES EMERGENCY CARE AND BEHAVIORAL HEALTH SERVICES FOR WHICH REIMBURSEMENTS DO NOT COVER THE FULL COST AND KENTUCKY PROVIDER TAX TO FUND CARE): $ 4,080,730 FINANCIAL AND IN-KIND CONTRIBUTIONS: $ 155,097 COMMUNITY BUILDING ACTIVITIES: $ 845,139 BAD DEBT (SERVICES PROVIDED IN WHICH PAYMENT IS EXPECTED BUT NEVER RECEIVED, STATED AT COST*): $ 21,767,406 TOTAL CHARITY CARE AND OTHER BENEFITS: $116,609,238 *AMOUNT INCLUDES THE BAD DEBT BALANCES OF A 50% OWNED ENTITY THAT WAS NOT CONSOLIDATED IN THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B: | PROCESS TO REVIEW FORM 990 ---------------------------------------- FORM 990 IS PLACED ELECTRONICALLY ON A COMPANY WEBSITE USED TO SHARE INFORMATION WITH BOARD MEMBERS. EACH BOARD MEMBER IS PROVIDED ACCESS TO THE WEBSITE AND IS ASKED TO REVIEW FORM 990 PRIOR TO A DESIGNATED DATE ON WHICH THE RETURN WILL BE FILED. AT LEAST TWO WEEKS OF ADVANCE NOTICE IS GIVEN TO BOARD MEMBERS SO THEY MAY REVIEW THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C: | MONITORING THE CONFLICT OF INTEREST POLICY ---------------------------------------- THE COMMONWEALTH HEALTH CORPORATION (CHC) (APPLICABLE TO THE CORPORATION AND/OR ITS AFFILIATES) CODE OF CONDUCT EXPLICITLY STATES MEMBERS OF THE BOARD ADMINISTRATION, THE MEDICAL STAFF AND ALL EMPLOYEES ARE EXPECTED TO AVOID CONFLICTS OF POLICY INTEREST. FURTHER, IT REQUIRES DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST IN A TIMELY MANNER. ALL INDIVIDUALS SIGN AN ACKNOWLEDGEMENT UPON EMPLOYMENT THAT THEY HAVE RECEIVED A COPY OF THE CODE OF CONDUCT, ARE FAMILIAR WITH ITS CONTENT AND UNDERSTAND THEIR RESPONSIBILITIES TO AVOID NON-COMPLIANT ACTIVITY. CHC'S REGULATORY COMPLIANCE COMMITTEE (RCC) REVIEWS AND APPROVES ALL CONTRACTS BETWEEN CHC AND/OR ITS AFFILIATES AND DISQUALIFIED ENTITIES. THE REVIEW IS DESIGNED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST BY BOARD MEMBERS AND/OR OFFICERS. RCC MEMBERS ARE PROHIBITED FROM TAKING PART IN DECISIONS REGARDING TRANSACTIONS WITH WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANNUALLY, WRITTEN INQUIRY IS MADE - BY QUESTIONNAIRE - OF BOARD MEMBERS AND OFFICERS SEEKING DISCLOSURE OF CONFLICTS OF INTEREST OR INFORMATION THAT RELATES TO FAMILY MEMBERS. TRANSACTIONS ARISING ARE REVIEWED BY MANAGEMENT AS THEY OCCUR. |
| FORM 990, PART VI, SECTION B, LINE 15: | DETERMINING COMPENSATION --------------------------------------- COMMONWEALTH HEALTH CORPORATION USES INDEPENDENT CONSULTANTS TO ANNUALLY REVIEW COMPENSATION OF EMPLOYEE OFFICERS. COMPENSATION-RELATED DETERMINATIONS ARE CONDUCTED IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND REGULATIONS TO QUALIFY FOR THE PRESUMPTION THAT THE COMPENSATION IS REASONABLE, INCLUDING BUT NOT LIMITED TO APPROVAL BY AN AUTHORIZED COMMITTEE OF THE BOARD OF DIRECTORS WHO DO NOT HAVE A CONFLICT OF INTEREST, OBTAINING AND RELYING ON APPROPRIATE DATA AS TO COMPARABILITY, AND CONCURRENT DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19: | MAKING DOCUMENTS AVAILABLE TO THE PUBLIC --------------------------------------- GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ONLY MADE AVAILABLE IF REQUIRED, AND IN THE MANNER REQUIRED, BY A GOVERNING AGENCY. |
| FORM 990, PART XI, LINE 9: | OTHER ADJUSTMENTS FOR NET ASSETS --------------------------- PREMIER DISTRIBUTION TO BGWCCHC $ 740,760 TRANSFER FROM MED CENTER FRANKLIN $ 4,779,019 ROUNDING $ (13) --------------- $ 5,519,766 |
| FORM 990, PART XII, LINE 2C: | OVERSIGHT PROCESS ------------------------------ THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:255735 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING FEES TOTAL FEES:3964587 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING FEES TOTAL FEES:2574676 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT FEES TOTAL FEES:12065568 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUEGRASS OUTPATIENT CTR BOWLING GREEN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 PARK STREET | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263564003 | EIN |
| Primary Activities | OUTPATIENT | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Total Income | $117,644 | TotalIncomeAmt |
| End Of Year Assets | $1,661,077 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BOWLING GREEN WARREN CTY COMM HOSP CORP | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 610920842 | HOSPITAL | KY | 501(C)(3) | 3 | CHC INC | Yes (true) |
| THE MEDICAL CENTER AT FRANKLIN | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 611362001 | HOSPITAL | KY | 501(C)(3) | 3 | CHC INC | Yes (true) |
| COMMONWEALTH REGIONAL SPECIALTY HOSPITAL | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 542142034 | HOSPITAL | KY | 501(C)(3) | 3 | CHC INC | Yes (true) |
| COMMONWEALTH HEALTH FREE CLINIC | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 611292739 | HEALTH CARE | KY | 501(C)(3) | 3 | CHC INC | Yes (true) |
| COMMONWEALTH HEALTH FOUNDATION INC | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 611362000 | SUPPORT | KY | 501(C)(3) | 7 | CHC INC | Yes (true) |
| THE MEDICAL CENTER AT ALBANY | ||||||||||
| 800 PARK STREET | BOWLING GREEN | KY | 42101 | 811312058 | HOSPITAL | KY | 501(C)(3) | 3 | CHC INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL PLAZA PARTNERS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 PARK STREET | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611080340 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | NONE | PredominantIncomeTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BOWLING GREEN WARREN CTY COMM HOSP CORP | ||
| D | $3,332,000 | FMV |
| BOWLING GREEN WARREN CTY COMM HOSP CORP | ||
| P | $51,741,000 | FMV |
| COMMONWEALTH HEALTH FOUNDATION | ||
| B | $355,752 | FMV |
| COMMONWEALTH HEALTH FOUNDATION | ||
| C | $497,859 | FMV |
| COMMONWEALTH HEALTH FREE CLINIC | ||
| B | $499,992 | FMV |
| THE MEDICAL CENTER AT FRANKLIN | ||
| D | $283,000 | FMV |
| THE MEDICAL CENTER AT FRANKLIN | ||
| P | $2,812,000 | FMV |
| THE MEDICAL CENTER AT FRANKLIN | ||
| S | $4,779,019 | FMV |
| COMMONWEALTH REGIONAL SPECIALTY HOSPITAL | ||
| D | $59,000 | FMV |
| COMMONWEALTH REGIONAL SPECIALTY HOSPITAL | ||
| P | $491,000 | FMV |
| THE MEDICAL CENTER AT ALBANY | ||
| D | $4,800,000 | FMV |
| THE MEDICAL CENTER AT ALBANY | ||
| P | $1,519,000 | FMV |